彩超引导下经皮肾镜碎石术治疗不积水肾结石

李方; 徐友明; 刘进; 陈侃; 王书龙; 陈久顺; 吴中华; 王邵亮; 余建华

彩超引导下经皮肾镜碎石术治疗不积水肾结石

- 湖北武警总队医院泌尿外科(武汉, 630061)

详细信息

通讯作者: 李方,E-mail:lifangc@163.com

中图分类号: R692.4

收稿日期: 2011-12-20

Color doppler ultrasound guided percutaneous nephrolithotomy for treatment of renal calculi in non-dilated collecting system

- Department of Urology, General Hospital of Hubei's Armed Police Forces, Wuhan, 430061, China

More Information

Corresponding author: LI Fang, E-mail: lifangc@163.com

Received Date: 20 December 2011

摘要

摘要: 目的：探讨彩超引导下经皮肾镜术治疗不积水肾结石的应用价值，总结技术要点。方法：55例不积水肾结石患者，在彩超引导下建立标准经皮肾通道，采用EMS第四代碎石清石系统清除结石。结果：全部患者均成功建立通道，一期完成手术，一期结石清除率90.9%（50/55），2例残石较多者行二期PCNL，3例术后ESWL治疗。所有患者均未输血以及介入栓塞治疗。结论：彩超引导下行经皮肾镜术治疗不积水肾结石，可以有效降低术中、术后严重出血，安全可靠。
- 彩色超声 /
- 经皮肾镜 /
- 肾结石
Abstract: Objective: To evaluate the clinic application value of color doppler ultrasound-guided percutaneous nephrolithotomy for treatment of renal calculi in non-dilated collecting system,and summarize the main points of colour doppler ultrasound-guided technology.Method: Fifty-five cases of renal calculi in non-dilated collecting system were performed by percutaneous nephrolithotripsy. The standard renal channel was estabilished under the guidance of colour doppler ultrasound.Result: Percutaneous renal access was successfully established and immediate phase I Lithotripsy was performed in all patients.Stones were cleared in 50 out of 55 cases(90.9%)during immediate phase I lithotripsy.2cases with some residual stone fragments received second PCNL,others(3 cases)received extracorporeal shock wave lithotripsy. No patient received blood transfusion or interventional embolization.Conclusion: Color ultrasound guided percutaneous nephrolithotomy is an effective and safe treatment for renal calculi in non-dilated collecting system. This technology can effectively reduce heavy blood loss during and after operation.
- color doppler ultrasound /
- renal calculus /
- percutaneous nephrolithotomy

HTML全文

参考文献(5)

[1]	李建兴,田溪泉,牛亦农,等.B超引导经皮肾镜气压弹道联合超声碎石术治疗无积水肾结石[J].中华外科杂志,2006,44(6):386-388.
[2]	夏磊,薛蔚, 陈奇, 等.超声引导微通道经皮肾镜下碎石术的应用研究(附896例报告)[J].临床泌尿外科杂志,2008,23(2):85-87.
[3]	LU M H,PU X Y,GAO X,et al.A comparative study of clinical value of single B-mode ultrasound guidance and B-mode combined with color doppler ultrasound guidance in mini-invasive percutaneous nephrolithotomy to decrease hemorrhagic complications[J].Urology,2010,76:815-820.
[4]	周昌永,陈亚青.泌尿系疾病超声诊断与介入治疗[M].北京:科学技术文献出版社,2008:28.
[5]	TZENG B C, WANG C J, HUANG S W, et al.Doppler ultrasound-guided percutaneous nephrolithotomy:a prospective randomized study[J].Urology,2011,78:535-539.